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Dr. Melissa Sue Bosma, MD
Student in an Organized Health Care Education/Training Program in Fort Wayne, Indiana
NPI 1053549956

Melissa Sue Bosma is a Student in an Organized Health Care Education/Training Program based in Fort Wayne, IN. Melissa Sue Bosma practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Melissa Sue Bosma is 1053549956 and holds a License No. 4301095084 (Indiana).

The current practice location address for Melissa Sue Bosma is 3707 New Vision Dr, Fort Wayne, IN and can be reached out via phone at 260-469-4763.

Location: 3707 New Vision Dr, Fort Wayne, IN, 46845-1702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053549956
Provider Name
Melissa Sue Bosma
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3707 New Vision Dr, Fort Wayne, IN, 46845-1702
Phone Number
260-469-4763
Fax Number
Provider Enumeration Date
06/30/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3707 New Vision Dr
City
Fort Wayne
State
Indiana
Zip
46845-1702
Phone Number
260-469-4763
Fax Number
person
Provider Business Mailing Address Details
Address
3707 New Vision Dr
City
Fort Wayne
State
Indiana
Zip
46845-1702
Phone Number
260-469-4763
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301095084 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4301095084 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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